AMBILI GEORGE

ELLICOTT CITY, MD
NPI1407503873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R208773)
Enumeration Date2022-03-07
Last Update Date2022-03-07
Business Address
AMBILI GEORGE
5054 EXECUTIVE PARK DR
ELLICOTT CITY, MD 21043-8011
Phone number: 956-525-1960
Mailing Address
AMBILI GEORGE
5054 EXECUTIVE PARK DR
ELLICOTT CITY, MD 21043-8011
Phone number: 956-525-1960